Saratov JOURNAL of Medical and Scientific Research

Health Service Organization

Content analysis of legal acts and the determination of the directions of optimization of palliative care in modern Russia

Year: 2015, volume 11 Issue: №4 Pages: 506-510
Heading: Health Service Organization Article type: Author's opinion
Authors: Yerugina M.V., Krom I.L, Shmerkevich А.В.
Organization: Saratov State Medical University
Summary:

The article presents the author's analysis of the normative documents of the Russian Federation necessary for providing palliative care. According to the authors regulatory — legal support of palliative medical care to the population allows to plan and to develop this kind of assistance in Russia. To ensure the availability of palliative care it is necessary to have scientific and methodological basis and to develop a general classification of the states under which the palliative care is needed and should be organized. The procedure for medical care must be brought into conformity with the mentioned above classification. The authors consider the trends of medicalisation of palliative care in Russia in the context of dysfunctional practices of the social institute of Public Health.

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Modern palliative care strategy

Year: 2015, volume 11 Issue: №4 Pages: 503-506
Heading: Health Service Organization Article type: Review
Authors: Krom I.L., Yerugina M.V., Shmerkevich А.В.
Organization: Saratov State Medical University
Summary:

Changes in the structure of public health are marked in health care round the world. Patients with chronic diseases which limit their life-important needs will live longer, suffer and as a result of these factors they will need palliative care. The article presents the author's analysis of modern interpretations of palliative care from the perspective of multi-professional and multidisciplinary approach. The article considers the main trajectory of a chronic disease, defining the modern palliative care strategy. Also the article presents the main objectives and directions of palliative care. The authors state that the adopted Russian legislative documents define palliative care as palliative medical care. The medicalisation of palliative care in Russia is considered by the authors from the perspective of the dysfunctional practices of the social institute of health.

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Dynamics of dental check-ups among the population

Year: 2015, volume 11 Issue: №3 Pages: 242-246
Heading: Health Service Organization Article type: Original article
Authors: Karimova D.Y., Lugovoi V.E., Aleynikov A.S., Shchukin A.l., Zlobin A.N., Livshits S.A.
Organization: State Scientific Research Center n.a. A.I. Burnasyan — Federal Medical Biophysical Center of Federal Medical Biological Agency
Summary:

The aim of the article: to assess the dynamics of the population coverage of preventive inspections dentists. Material and methods: analytical, statistical, and direct observation. Results. Increase in the number of patients receiving artificial limbs, for example, in the North Caucasus Federal District (+21.8% from 2008 to 2009) And Far East (-30.1 % over the same period). Given that in the North Caucasus Federal District smallest number of patients received pros-theses, such a growth indicator may be due to the volume of supply in the region, taking into account the needs of the population. The sharp decline in the availability of prosthetic patients Far East against the background of dissonance between sanitized and in need of rehabilitation patients with sufficient personnel potential evidence of regional problems in dental care. Even more interesting is the distribution of the proportion of patients who received free dentures. In the North Caucasus Federal District, along with an increase in the total number of patients who received artificial limbs, sharply reduced the proportion of patients who received them free of charge (-64.9% from 2008 to 2009). In a number
of countries have not produced any free prosthetics. Conclusion. Reduced the number of patients who received pros-theses, especially for free. The most unfavorable situation is observed in the North Caucasus Federal District (-64.9%), mainly due to the Chechen Republic and the Republic of Dagestan, where the figure is zero. The current situation in the field of dental care, requires a differentiated approach and to adequately address problems from a regional perspective.

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Social portrait of a specialist with secondary medical education in modern health care

Year: 2015, volume 11 Issue: №3 Pages: 237-242
Heading: Health Service Organization Article type: Original article
Authors: Alexeeva Е.Е., Novokreshchenova I.G., Chunakova V.V., Novokreshchenov I.V.
Organization: Saratov State Medical University
Summary:

The aim of the study: formation of a social portrait of specialist with secondary medical education in the regional healthcare. Materials and Methods. Survey included 464 nurses from medical organizations of the Saratov region. Mathematical and statistical processing of the data was carried out using traditional statistical methods using the application package ("Excel-2003", "BIOSTAT"). Results. The basic features of a professional group and problems of professional realization of nurses in the Saratov region were revealed. Conclusion. Identification of the major professional and social characteristics of the personnel allows to substantiate and to implement targeted measures to create conditions of professional realization of specialists with secondary medical education.

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Health service organization for patients with cerebral infarction: current status and specifics of outpatient medical care

Year: 2015, volume 11 Issue: №2 Pages: 100-106
Heading: Health Service Organization Article type: Review
Authors: Parkhomenko A.A.
Organization: Saratov State Medical University
Summary:

Stroke and cerebral infarction in particularly are important medical and social problems. The article describes the historical changes of legal acts regulating medical care for patients with stroke and observes recent researches dealing with the law enforcement in this sphere. Content analysis revealed the lack of correspondence between the legal framework and clinical guidelines for cerebral infarction. Particular attention is paid to the low level of scientific research results concerned with the stroke outpatient medical care.

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Perspectives for the analysis of arterial hypertension morbidity in Saratov region

Year: 2015, volume 11 Issue: №2 Pages: 97-100
Heading: Health Service Organization Article type: Original article
Authors: Zhuzhlova N.Y., Sazanova G.Y., Dolgova E.M.
Organization: Saratov State Medical University
Summary:

Purpose: the study of trends in overall morbidity and primary hypertension in the Saratov region over the period from 2002 to 2013. Materials and methods. The official statistics Ministry of Health and the Federal State Statistics Service were used, which is processed using analytical and statistical methods. Results. The article has been providing the analysis of total and primary arterial hypertension morbidity of the population of the Saratov region, which is in accordance with the degree of the Government of the Russian Federation from December 1, 2004, N 715 to the group of socially significant diseases. During the period from 2002 to 2013 in the Saratov region, as well as in the Russian Federation in Volga Federal district, the tendency of growth of the overall incidence and the decrease in the primary incidence of arterial hypertension. Conclusion. The dynamics of incidence of hypertension suggests the need for careful analysis and optimization of medical care for patients with hypertension

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The issue on the use of information and communication technologies in the work of the territorial Roszdravnadzor

Year: 2015, volume 11 Issue: №2 Pages: 93-97
Heading: Health Service Organization Article type: Original article
Authors: Antimonov A.V., Sergeev V.V., Tsymbal D.E.
Organization: Saratov Territorial Roszdravnadzor, Samara Territorial Roszdravnadzor, Samara State Medical University
Summary:

Objective: to identify ways to use ICT in some areas of work of the territorial authority of Roszdravnadzor. Materials and Methods. We used a questionnaire survey of 50 employees of territorial bodies of Roszdravnadzor, 50 employees of the licensing bodies of the three subjects of the Russian Federation (the Republic of Tatarstan, Samara and Saratov region), 50 license applicants in the territory of the Samara region (a total of 150 respondents). For statistical processing of the results we used the criterion ("Chi-square") K. Pearson. Results. The analysis of the survey results reliably indicates a broad support for the subjects of licensing relations the introduction of modern ICT in the work of the relevant public authority. Conclusion. The study results of the views of the staff of the licensing authorities and applicants of licenses for medical activities on introduction of modern information and communication technologies in the work of the licensing authority have been presented. As possible methods it has been suggested the use of special (special programmes) and general (content site) groups.

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Regional system of nurse personnel training and main directions of its improvement

Year: 2015, volume 11 Issue: №2 Pages: 87-93
Heading: Health Service Organization Article type: Original article
Authors: Alexeeva Е.Е., Novokreschenova I.G., Chunakova V.V.
Organization: Saratov State Medical University
Summary:

Purpose: analysis of the present state of the system of professional training of nursing personnel and of the need for nursing personnel at the regional level. Methods. The indicators of availability of nursing staff in the Saratov region and the parameters of activity of nursing professional education institutions in the region have been analyzed. Results. Problems of nursing personnel provision of the healthcare system and the main trends of training of nursing personnel were identified. Conclusion. Optimization of personnel maintenance of healthcare and nursing personnel training system is possible by creating conditions for the professional realization of nursing personnel and adaptation of young professionals at the workplace.

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Theoretical background of healthcare management in the conditions of social and economic instability

Year: 2015, volume 11 Issue: №1 Pages: 065-068
Heading: Health Service Organization Article type: Author's opinion
Authors: Shuldyakov V.A., Chernenkov Yu.V., Denisova Т.Р.
Organization: Children's Hospital of the Saratovsk Region, Saratov, Saratov State Medical University
Summary:

Purpose: to develop fundamental basis of science based healthcare management in social and economic instability. Public health state (1998-2008, selected region) was characterized by cardiovascular health parameters (Code IX, ICD-10). Systematic review was performed according to PRISMA guidelines. Dynamic characteristics of major cardiovascular diseases in social and economic instability considered as a cause of a population system destabilization were reconstructed. Conclusion. Fundamentals of science based healthcare management in social and economic instability include long- and short-term prognosis of public health characteristics as the result of multifactor external influences on cardiovascular diseases prevalence.

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The quality of life optimization vectors of patients with ischemic heart disease

Year: 2015, volume 11 Issue: №1 Pages: 062-065
Heading: Health Service Organization Article type: Original article
Authors: Krom I.L., Erugina M.V., Sazanova G.Yu.
Organization: Saratov State Medical University, Saratov Institute of Social Education, Head of Centre of Medical and Social Research
Summary:

The purpose of research is an integrative analysis and justification of the priorities of the quality of life optimization with patients with coronary heart disease. Material and Methods. Some sociological and statistical methods were used in this study. Results. The article presents the results of the study of quality of life of patients with ischemic heart disease, using a questionnaire WHOQOL-100. The study established the statistical dependence of the quality of life of patients with coronary heart disease on the quality of medical care, which is considered by the authors as an obligate modifiable predictor of quality of life of these patients. Conclusion. Medical care is considered according to the research as the obligate modified predictor of quality of life of the patients suffering from coronary heart disease. Statistical dependence of indicators of quality of life of sick IBS on medical care is established during research. Correction of standards of medical care acts as one of conditions of optimization of quality of life of sick coronary heart disease.